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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE IDiSIG.COMMENTS (TWNER BUILDPI DtiL( ARrtItoN
<br />I rrEb, rfin unld FMhy r{ Frury lhlr I m .r.n{'l fiDm rtt (.Ildr*rt^' Lamc ti* tu llE dlosinB Er$n is.. ml l I
<br />Burnc$ drl Profcs{ion Cqi.): Any Ciry or Cou.ry whi.h rcquns 0 lErnrn n, q,Nrrucr. dlr.r. iqJn'v., dcmlnh Enrn tny
<br />(uJE. Fiy ro ii. ir\uft.. d$ E9UiE. rh..{'rlaur fo. rkh Fni n' fiL r ngtd (d.mN lhd lt ot rlE ir lanqr! Purad
<br />ro rh. F.v^in ol r,E Conrrcrtri l,enctl ll* (Ctitrct 9. C.mftfti.8 vnh Scri'tr 7UD of Diviii,n :l olrlr Burin.* I
<br />Prnt$hn1 (tn ) or rhlr t! r \h. ir .kn{,l rh.Efr.n r.d ltF h.rk ror l,E llbscn.rcd{, k,n Any viollrbn of S(li,n 7o.l I 5 brrny
<br />+tlflnr Id t Fmr rubj*r thc {nl*.nl ro . ciril ll.ully ol nn mn rh, li!. hrdr.d &,lLri ( $500,
<br />-1.
<br />$ o*rc. of rl* l()Fny, or ny .i{l k,Fi *ith rrscs &i rlEi $k drmp.neri,.- will do rh. udk .nl llr rnIt@ ir d,
<br />id.nLil {, ofl.Rd rd sl. (S(.7O1,1. BrriB. rnd PFI$si.nr (id. Ir Coddd-r LilN lr* dB Ei +Plr r. o orE ol
<br />rhc ImFdy *lE llikfi or inln s thcNn, uM *b diE\ uh H,k h'm\ulr or hcrslf or rhmu8h hF or lE, own cmlhrc(
<br />nroviLd rh.r ruch in{mEftft e nn inrcnhl tr oll.Et ftr {h ,l lD*.w. ilE toikt'n8 or inFtEEd n 5b *'rhin m )d
<br />ol d*ptdin rh. (A.E Builb vill h.E rL hmtc. ol I'orins rld lF or rtE dil d tioit rlFrt dE FFny n, rlr FrFE.f
<br />l. r\ ou rH of th( I{onrd r . !m cr.lulr c lt .ontacr i'rs tr ir h l'(n*l .ontlcr,r r, d).{ru.r ill roJNr t s.. nlr-r. BunN\
<br />u lhn6\nnCo{lc'lhcGn[tu.!tr'\l,iccn\.1.($,nE\norlrplyrnnnowncroftrofrdysh)buildsorirnrroe.!rhcrnn,.
<br />a.d *ho d rJ.c for !u.h nnB\( snh3(i,nrm.ttrli) li(n{d FlFunr t'rtu Conrrnn \ I rrns tr*r
<br />Ii crr rtn un,lo Sccr(!r
<br />tr!84[&r]glutrusAll]x
<br />IIEII{BAII9tr
<br />I lxrbyafiir unds Fnahynr Fru.) orcorlhc folhru3 &(br!!i,n(
<br />-l
<br />hrtt srl will dinr.in r c.nifr.t. of Conc b S.ll lnrurc ftr krt6! .r'iq'.nqrrn. s tn)vi.n for by i*qri,n lTlr) of trx
<br />L.lrtr Co!. nn rlE Ftutur of rlE mrt l tth rrr Fntr i. icrEn
<br />Ih,k.d*illtuanriinr. dr c.r{En\li('n int!6re- !r kqundhySeli'nlr(r)oflh.lrh,Cid..torrtEIx
<br />: _" : : ")ryr "/2: " T ; :' ^ ?: :: ) ?
<br />-:- -
<br />Pottc y rt uttrc,, %Lrri*r:
<br />-
<br />-lftnifyrhrr
<br />in rtF FrformN. oa lh *ork nrwhtnlin Fm n ^ru.n. I \h.ll ft{ .i{'hy lny Fcon andny ronm.
<br />v, Nrotx()m iuhjer tolhc wortci con0tinfio.la*r otC|lifi'mtu. und o8Erhsl il l\h,old tf,..m suhrcr k,lhc
<br />eodd< a,r{Ensrrrn lmvni'N of SNii,n 11l)oflll Lrs (ixL.I.hnll- (th$ithN.{lly *ith rtr* l'n vilirnr
<br />WAf,NINC Failur t, slk rbd.^ omJEdi,n t\trtn3. s unh*lol. 'd rh.ll .ul'Fr ctrlll'F ro on,Ml FEia..,rl
<br />clvil inc\ up k' om h! t(l rh.u\n. d.llin lslrl().lx ). ir I'lili(n' r,, rh. ro{ ol(,rnNtr\n,i'rr. (lxnx,!c\ r\ ln,ri,ld nr rh!
<br />::;:':;).y,;'/ /,,/l^9 a.a
<br />t,l.( t. \R \ I Ir,\
<br />I htEb, ur'rtm u'xl( FMh, or r.tut, lhol I m lianGl und$ ,,n,vni,,n2{ Chtrlrd e (.onnmmi.3 *irh S.tib 7(xx,ofr)ivision 1
<br />of rlE Burims nl Prcfcl{r'n\ C.xlc. sd my l.t.{ t t. full ftra t clYNrzfw,t,iaMChs-]:-
<br />I h.Ehy rmrm unLr FMlty of Ftrry $xr rlE. i5 ' .r,Nrtu i,h rrdr8 r8.fty tu ih. n<nmtu. or rtE m n, *htt rhr Fmd a
<br />ATTITCAXLIEIJJAAIII]B
<br />I h.rEr,, anlmr undcr r.ntrhy ol p.rjury otrc olthc rirlk'uins dalmrt,n\
<br />Ocrnni'tr ltrmn\ ArlBtx t{orirk r{ ftrknl Rc3uLliorslTirL '{r. Pd6r
<br />-Rc!uircd
<br />lrtrcr ot Ndiii.dbn
<br />I diryrhd rlE f.nsJ rSlhli,tr\ rgtdinS.rtrat* En'vrle n q'nlic$k ro rhn ln,Fr
<br />_l (rnifyrh l h"tt r.d rhtr q,pl
<br />odinrmrc rnl sllrc t,w\ Ebhn8lo
<br />il::,-'^":;,/
<br />Cr^n*-^.rpa"",74
<br />arrk{nl {ir. rh! rh( nh\. tr,Ion i'n tr(otrccr Ir{Nh.otrtltlrr hill(-rr)!d(i'utrr\
<br />,},:1,:,*1.*,,. -},*) Jnh.,. 'rllc{trLltr".ol lh''1,tr\ Jftlli.Utrl\ L,cnll UF,nl',"E-* y'* ,,,. f/r/u' 7u., / /. t /,.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />l\,4asonry
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Enqineer Final Report
<br />FINAL 1/t x /ao J..-
<br />Certilicate ot Occupancy -o'--r -l
<br />Notes, Remarks, Etc.
<br />5 I
<br />LI )/6-H.l
<br />Set Backs
<br />UFER Ground
<br />Pool Fence
<br />Flood Zone Certif .
<br />trnJ rsd 109? cie c)
<br />tJndcr's Nome:
<br />-
<br />I
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